1. Presented by: Glenda Springsted Spencer, MS, LAC

2. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Not Rural – “Frontier” Cando

3. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Large Service Area Average Client  150 miles from home.

4. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Clients Typically Have Other Options Average Client  Dual diagnosis.  Multiple treatments. We have to offer something clients can’t get at other facilities. Center for Solutions

5. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Everyone is Struggling Individuals Families Schools Communities The legal system Mental health

6. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Our Treatment Philosophy All clients are “IDEAL” No matter what the problem, pathology, or issue, each client deserves an opportunity for success

7. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Our Treatment Philosophy 1.NO single treatment approach is appropriate for all individuals. 2.Effective treatment tends to multiple needs of the individual – co-occurring disorders are treated simultaneously. 3.Multiple disciplines are critical components of treatment.

8. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Our Treatment Philosophy 4.Medications can be an important component of treatment success. 5.Treatment does not need to be voluntary to be effective. 6.Individual treatment plans must be reassessed continually & modified as necessary.

9. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Our Treatment Philosophy 7.Remaining in treatment for an adequate period of time is critical for treatment effectiveness. 8.Recovery from addiction be a long- term process and frequently requires multiple treatments.

10. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Goal-Focused Therapeutic Approach Assists Clients change by constructing solutions Solution Focused Therapy

11. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Treatment Goals Patients Chemical Dependency Treatment Programs Goals Improved relationships Legal issues Self sufficiency Self support Education Employment issues Medical problems Emotional well-being Sobriety

12. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Can you have long-term sobriety without addressing the other issues? Improved relationships Legal issues Self sufficient Self support Education Employment Medical problems Emotional well-being Sobriety May or May not Solution Focused Therapy

13. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Success Requires Both Sobriety by itself is a shallow victory without Improved relationships Legal issues Self sufficient Self support Education Employment Medical problems Emotional well-being Solution Focused Therapy

14. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… 1.The client is NOT powerless 2.A focus on future exceptions and opportunities 3.Honesty can be helpful but is not essential Changing the way we look at addiction. Solution Focused Therapy Focus on :

15. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… 4.The client does not need insight to begin to change 5.Success is measured by change 6.The Problem is not based on pathology Changing the way we look at addiction. Solution Focused Therapy Focus on :

16. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… 7.Change can happen quickly rather than slowly 8.Each client will develop their own plan for recovery Changing the way we look at addiction. Solution Focused Therapy Focus on :

17. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… 9.People are resourceful. They have all they need to solve their problems. “So many times it happens that we live our lives in chains and never even know we have the key.” (a quote from the Eagles) Changing the way we look at addiction. Solution Focused Therapy Focus on :

18. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Treatment Success Simply treating chemical dependency results in high rates of recidivism. The national average success rate is very, very low.

19. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Solution Focused Therapy Focus on each client’s “strengths” and “capabilities” Changing the way we look at addiction:

20. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Focusing on what is positive, on the solution, and on the future, encourages change in the desired direction. Solution Focused Therapy

21. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Solution Focused Therapy Changing the way we look at addiction: “no shame, no blame”

22. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Since we focuses on “process of change” rather than the problem, major problems do not necessarily require different treatment. Task of counselor is to help the client translate seemingly major problems into clearly defined and achievable goals Solution Focused Therapy

23. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Message is Critical Successful treatment requires that you change the message that people are giving themselves.

24. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Message is Critical We believe EVERYTHING we tell ourselves. Addicts have a tendency to speak in terms of “absolutes”

25. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Our Message The CFS Chant  I am “STRONG”  I am “POWERFUL”  I “OVERCOME”  I AM A ”LEADER”

26. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Clients want things to be different…. how will that happen? Our Focus

27. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Is on the future and what the future will look like when their life changes. Our Focus

28. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Is the client has the skills to solve their own problems…they simply need some help to realize it. Our Focus

29. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Change is inevitable and constant Views Solutions Focused Therapy Change Be the change you want to see in the world. Gandhi

30. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Easier to find solutions than to dissolve problems Views Solutions Focused Therapy

31. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Therapist focuses on exceptions to the problem Views Solutions Focused Therapy

32. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Small change & success lead to increased motivation to succeed Views Solutions Focused Therapy

33. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Empowering model of treatment Causes a rapid shift in thinking Cost effective Worker burnout prevention Responsibility for change rests with the client SFT Advantages

34. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… 1.Describe in detail the problem you wish to solve? 2.Why do you wish to solve this problem at this time? Assignment #1

35. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… In the circle below (which represents 100% of the time) shade in the percentage of times the problem you wish to solve actually appears. Problems Exceptional Times 25% 75% Assignment #2

36. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… What is different? Where are you? Who are you with? Not with? What would others say is different? When do these times occur? How often do they occur? What do you notice different about yourself? Summarize in video language… Assignment #2

37. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… The Miracle Question Suppose tonight you go to bed and fall asleep, and while you are sleeping a miracle happens. The miracle is that the problem you identified earlier is solved, but you don’t know that the miracle has happened because you were asleep. When you wake up in the morning, what will be some of the first things you will notice that will be different that will tell you a miracle has happened? Assignment #3

38. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Problem Resolution Plan Describe the problem How do you want it to change Solution Strategies What has worked, what is working and what will work in the future? Where – Who – When – What Support Systems Assignment #4

39. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Despite knowing better, we often ignore the warnings The Far Side August 7, 2002

40. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Moods Thoughts & Feelings Thoughts & Feelings Behaviors Back to Using Relapse Triggers Assignment #5

41. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Change “God Bless the flexible, at least they won’t get bent out of shape.” Tamara Hall, 2006

42. Where only excellence in addiction treatment will do Finding Solutions for Substance Abuse In Rural America Center for Solutions… Center for Solutions Cando, North Dakota Thank you… Presented by: Glenda Springsted Spencer, MS, LAC